I went to a new endo today. It turns out the reason I couldn't get an appointment with my old endo ("Call back in June. She doesn't have any appointments available the next two months.") is because she's closing her practice. Apparently she's going to send a letter. Eventually. In which she may or may not recommend another doctor.

So I'm seeing the only endo in my (pop ~1 million) city that my insurance considers in-network. I'm a bit nervous about the new doctor. She's very brusque (not a good fit for me). And the first visit consisted of an EKG (even though I had one six months ago), a body fat percentage test, a basal metabolic rate test, and a huge list of blood tests. The staff couldn't figure out how to download the data from my pump. They did take out the battery, though, which meant I had to restart everything.

I have a second appointment next week to go over everything. With all those tests, I'm worried it's just going to be a long lecture on weight.

It went fairly well. Though more tests! Some kind of electrical machine to test my nerves in my hands and feet. Thyroid and carotid artery ultrasounds. Their glucometer was way off 315 when my meter measured 243 (an hour after breakfast).

She's sending me to a dietitian, which I don't think will be helpful for me. I don't have a specific food issue I need help with, and I've had more than enough education on carb counting and healthy diets over the past 30 years.

And then back to see the PA in six weeks. I sure hope my insurance covers all of this.

The only advice she had was to cut down to 45 g carb for lunch and dinner, and that's just not going to happen on a regular basis. I didn't during my pregnancy, and it really limited what and where I could eat. It's unrealistic.

I never realized this, and no one bothered to tell me. In a way, it doesn't matter, because I will meet my deductible regardless, no problem.

So after I learned about this, I mycharted my doc, and found out my insurance requires me to go on Novolog instead (unless or until I "fail" on it). I don't know what that means. How do I fail on this or that brand of insulin?

ALSO: Novolog costs $430+ per vial! But the joke's on them because they'll be footing the bill for more expensive insulin.

I didn't notice much difference when I switched from lantus to levemir (same brand as novolog, I believe). Hopefully it's not a big deal. Also, insurance insulin preferences suck.

I just got the fancy new minimed hybrid pump. Though it sold better than they expected, and I won't have the continuous glucose monitor for a bit. So it's currently not much different than my animas pump. I don't think I've ever been this excited about new diabetes technology. (Though lantus is 5000% percent better than nph. I was just too young to appreciate it.) This is just a step away from an artificial pancreas.

wow. that looks really cool. automatically administers insulin based on glucose levels. that looks really cool! report back with how it all works when you get continuous glucose monitoring. All of my work with diabetes really revolves around balancing quality of life and food and blood sugar levels without really worrying about the long term effects of high blood sugar given that most people are in their 80s or 90s. So i'm always interested in what young people are doing. And also we mostly have type 2, of course.

_________________I am not a troll. I am TELLING YOU THE ******GOD'S TRUTH****** AND YOU JUST DON'T WANT THE HEAR IT DO YOU?